Organization
RADIOLOGICAL ASSOCIATES OF DULUTH, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK J SUSLAVICH M.D. (PRESIDENT)
(218) 722-3700
Entity
Organization
Contact information
Practice address
925 E SUPERIOR ST, SUITE 109, DULUTH, MN 55802-2238
(218) 722-3700
(218) 722-8705
Mailing address
925 E SUPERIOR ST, SUITE 109, DULUTH, MN 55802-2238
(218) 722-3700
(218) 722-8705
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
695210100
—
MN
01
—
78197RA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
05/01/2006
Last updated
01/15/2008
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